I started on traditional HRT after I had a hysterectomy at a young age. I took that for many years but stopped after the women's health study. It brought huge quality of life issues in the form of terrible hot flashes and not sleeping. I put up with that for two years and sought help through compounded bioidentical hormone replacement. Now I can actually sleep without waking up 3-6 times with hot flashes. As research has shown, quality sleep is vital to our health.
I work with two doctors, one MD and one ND, who carefully guide my therapy. They do regular blood tests and hormone panels to make sure the dosing is appropriate.
Last year I tried to switch back to a standard prescription patch for estrogen and that did not work for me. It delivered too much estrogen, even at half a patch, and it made my skin itch. I switched back to cBHT and am very happy.
I ask you to consider the needs of all women, not just those who may be candidates for more traditional therapy. In the hands of knowledgeable practitioners, I feel cBHT is safe.